The Future of Quality Improvement for Cirrhosis

Cirrhosis has a significant and growing impact on public health and patient‐reported outcomes (PROs). The increasing burden of cirrhosis has led to an emphasis on the quality of care with the goal of improving overall outcomes in this high‐risk population. Existing evidence has shown the significant...

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Bibliographic Details
Published in:Liver transplantation 2021-10, Vol.27 (10), p.1479-1489
Main Authors: Tapper, Elliot B., Parikh, Neehar D.
Format: Article
Language:English
Subjects:
Cirrhosis
Hepatocellular carcinoma
Humans
Liver cirrhosis
Liver Cirrhosis - diagnosis
Liver Cirrhosis - therapy
Liver Transplantation
Patient Reported Outcome Measures
Public health
Quality control
Quality Improvement
Quality of Health Care
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Summary:Cirrhosis has a significant and growing impact on public health and patient‐reported outcomes (PROs). The increasing burden of cirrhosis has led to an emphasis on the quality of care with the goal of improving overall outcomes in this high‐risk population. Existing evidence has shown the significant gaps in quality across process measures (eg, hepatocellular carcinoma screening), highlighting the need for consistent measurement and interventions to address the gaps in quality care. This multistep process forms the quality continuum, and it depends on clearly defined process measures, real‐time quality measurement, and generalizable evaluative methods. Herein we review the current state of quality care in cirrhosis across the continuum with a focus on process measurement methodologies, developments in PRO evaluation on quality assessment, practical examples of quality improvement initiatives, and the recent emphasis placed on the value of primary prevention.
ISSN:1527-6465
1527-6473
1527-6473
DOI:10.1002/lt.26079